ICD-9 Code 454.9
Asymptomatic varicose veins
Not Valid for Submission
454.9 is a legacy non-billable code used to specify a medical diagnosis of asymptomatic varicose veins. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
ICD-9: | 454.9 |
Short Description: | Asympt varicose veins |
Long Description: | Asymptomatic varicose veins |
Convert 454.9 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
- I83.90 - Asymptomatic varicose veins of unspecified lower extremity
Code Classification
-
Diseases of the circulatory system (390–459)
-
Diseases of veins and lymphatics, and other diseases of circulatory system (451-459)
- 454 Varicose veins of lower extremities
-
Diseases of veins and lymphatics, and other diseases of circulatory system (451-459)
Information for Medical Professionals
Code Edits
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
- Adult diagnoses (age 15 through 124) Adult diagnoses (age 15 through 124)
Adult diagnoses: Age range is 15–124 years inclusive.
Synonyms
- Abdominal varicosities
- Calf perforator varicose veins
- Corona phlebectatica
- Ectactic vein
- Hyphenwebs
- Internal jugular phlebectasia
- On examination - varicose veins
- Recurrent varicose vein of lower leg
- Recurrent varicose vein of lower limb
- Ruptured varix
- Simple varicose veins
- Varicose eczema
- Varicose vein finding
- Varicose veins of leg in long saphenous vein distribution with eczema
- Varicose veins of leg with long saphenous vein distribution
- Varicose veins of leg with short saphenous vein distribution
- Varicose veins of lower extremity
- Varicose veins of lower extremity without ulcer AND without inflammation
- Varicose veins of the leg with eczema
- Varicose veins of the leg with rupture
- Venous varices
Index to Diseases and Injuries
References found for the code 454.9 in the Index of Diseases and Injuries:
- Incompetency incompetence incompetent
- vein venous saphenous varicose SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varicose vein 454.9
- vein venous saphenous varicose SEE ALSO See Also
- Phlebectasia SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varicose vein 454.9- esophagus SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix esophagus 456.1- with hemorrhage SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix esophagus bleeding 456.0
- with hemorrhage SEE ALSO See Also
- esophagus SEE ALSO See Also
- Tumor M8000 1 SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Neoplasm by site unspecified nature- varicose SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varicose vein 454.9
- varicose SEE ALSO See Also
- Varicose
- vein lower extremity ruptured SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix 454.9- with
- edema 454.8
- inflammation or infection 454.1
- ulcerated 454.2
- pain 454.8
- stasis dermatitis 454.1
- with ulcer 454.2
- swelling 454.8
- ulcer 454.0
- inflamed or infected 454.2
- anus see Hemorrhoids
- broad ligament 456.5
- congenital peripheral 747.60
- gastrointestinal 747.61
- lower limb 747.64
- renal 747.62
- upper limb 747.63
- esophagus ulcerated SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix esophagus 456.1- bleeding SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix esophagus bleeding 456.0
- bleeding SEE ALSO See Also
- inflamed or infected 454.1
- with ulcer 454.2
- in pregnancy or puerperium 671.0
- vulva or perineum 671.1
- nasal septum with ulcer 456.8
- pelvis 456.5
- perineum 456.6
- in pregnancy childbirth or puerperium 671.1
- rectum see Hemorrhoids
- scrotum ulcerated 456.4
- specified site NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 456.8
- sublingual 456.3
- ulcerated 454.0
- inflamed or infected 454.2
- umbilical cord affecting fetus or newborn 762.6
- urethra 456.8
- vulva 456.6
- in pregnancy childbirth or puerperium 671.1
- with
- vein lower extremity ruptured SEE ALSO See Also
- Varicosis varicosities varicosity SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Varix 454.9 - Varix lower extremity ruptured 454.9
- with
- edema 454.8
- inflammation or infection 454.1
- with ulcer 454.2
- pain 454.8
- stasis dermatitis 454.1
- with ulcer 454.2
- swelling 454.8
- ulcer 454.0
- with inflammation or infection 454.2
- aneurysmal SEE ALSO See Also
A “see also” instruction following a main term in the index instructs that there is another main term that may also be referenced that may provide additional index entries that may be useful. It is not necessary to follow the “see also” note when the original main term provides the necessary code. Aneurysm 442.9
- anus see Hemorrhoids
- arteriovenous congenital peripheral NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 747.60- gastrointestinal 747.61
- lower limb 747.64
- renal 747.62
- spinal 747.82
- upper limb 747.63
- bladder 456.5
- broad ligament 456.5
- congenital peripheral 747.60
- esophagus ulcerated 456.1
- bleeding 456.0
- in
- cirrhosis of liver 571.5 456.20
- portal hypertension 572.3 456.20
- in
- congenital 747.69
- in
- cirrhosis of liver 571.5 456.21
- with bleeding 571.5 456.20
- portal hypertension 572.3 456.21
- with bleeding 572.3 456.20
- cirrhosis of liver 571.5 456.21
- bleeding 456.0
- gastric 456.8
- inflamed or infected 454.1
- ulcerated 454.2
- in pregnancy or puerperium 671.0
- perineum 671.1
- vulva 671.1
- labia majora 456.6
- orbit 456.8
- congenital 747.69
- ovary 456.5
- papillary 448.1
- pelvis 456.5
- perineum 456.6
- in pregnancy or puerperium 671.1
- pharynx 456.8
- placenta see Placenta abnormal
- prostate 456.8
- rectum see Hemorrhoids
- renal papilla 456.8
- retina 362.17
- scrotum ulcerated 456.4
- sigmoid colon 456.8
- specified site NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 456.8
- spinal cord vessels 456.8
- spleen splenic vein with phlebolith 456.8
- sublingual 456.3
- ulcerated 454.0
- inflamed or infected 454.2
- umbilical cord affecting fetus or newborn 762.6
- uterine ligament 456.5
- vocal cord 456.8
- vulva 456.6
- in pregnancy childbirth or puerperium 671.1
- with
Information for Patients
Varicose Veins
Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in the legs, but also can form in other parts of the body. Hemorrhoids are a type of varicose vein.
Your veins have one-way valves that help keep blood flowing toward your heart. If the valves are weak or damaged, blood can back up and pool in your veins. This causes the veins to swell, which can lead to varicose veins.
Varicose veins are very common. You are more at risk if you are older, are female, have obesity, don't exercise, or have a family history of varicose veins. They can also be more common in pregnancy.
Doctors often diagnose varicose veins from a physical exam. Sometimes you may need additional tests.
Exercising, losing weight, elevating your legs when resting, and not crossing them when sitting can help keep varicose veins from getting worse. Wearing loose clothing and avoiding long periods of standing can also help. If varicose veins are painful or you don't like the way they look, your doctor may recommend procedures to remove them.
NIH: National Heart, Lung, and Blood Institute
[Read More]
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
- Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
- No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
- Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.